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US Internal Revenue Service: f1120fsc - 2004
US Internal Revenue Service: f1120fsc - 2004
US Internal Revenue Service: f1120fsc - 2004
Form 1120-FSC U.S. Income Tax Return of a Foreign Sales Corporation OMB No. 1545-0935
For calendar year 2004 or other tax year beginning , 2004,
F Check applicable boxes: (1) Final return (2) Name change (3) Address change (4) Amended return
FSC Information
1 Principal shareholder. Complete for the shareholder that was the principal shareholder at the beginning of the FSC’s tax year. If two or more shareholders
own equal amounts of stock, complete for the shareholder that has the same tax year as the FSC. (See page 7 of the instructions.)
a Name b Identification number
c Address (number, street, and room or suite no., city or town, state, ZIP code, or country) d Total assets (corporations only)
$
e Percentage of voting stock of the f Tax year ends (month and year) g Service Center where tax return is filed h Foreign owner? (check one)
principal shareholder
% Yes No
2 Parent-subsidiary controlled group. Is the FSC a subsidiary in a parent-subsidiary controlled group? 䊳 Yes No
If “Yes,” and the principal shareholder (described in 1 above) is not the common parent of the group, complete
lines 2a through 2g below for the common parent. (See page 7 of the instructions.)
a Name of common parent b Identification number
c Address (number, street, and room or suite no., city or town, state, ZIP code, or country) d Total assets (consolidated, if applicable)
$
e Percentage of voting stock of the common parent f Tax year end (month and year) g Service Center where tax return is filed
%
3 Administrative pricing rules
a Check the applicable box(es) to show the pricing rule(s) used to determine taxable income on transactions resulting in foreign trading gross receipts.
(1) 1.83% of foreign trading gross receipts (2) 23% of combined taxable income (3) Marginal costing
(4) Section 482 method (5) Transactions at arm’s length with unrelated supplier(s)
b If the FSC and the related supplier(s) meet the payment rules of Temporary Regulations section 1.925(a)-1T(b)(2)(ii) and elect to use the administrative
pricing rules, check here 䊳
Tax and Payments (See page 7 of instructions.)
1 Total tax (Schedule J, line 9) 1
2 Payments:
a 2003 overpayment credited to 2004 2a
b 2004 estimated tax payments 2b
c Less 2004 refund applied for on
Form 4466 2c ( ) d Bal 䊳 2d
e Tax deposited with Form 7004 2e
f Credit for Federal tax paid on fuels (attach Form 4136) 2f
g U.S. income tax paid or withheld at source (attach Form 1042-S) 2g
h Add lines 2d through 2g 2h
3 Estimated tax penalty. Check if Form 2220 is attached 䊳 3
4 Tax due. If line 2h is smaller than the total of lines 1 and 3, enter amount owed 4
5 Overpayment. If line 2h is larger than the total of lines 1 and 3, enter amount overpaid 5
6 Enter amount of line 5 you want: Credited to 2005 estimated tax 䊳 Refunded 䊳 6
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign May the IRS discuss this return with
Here
䊳 䊳
the preparer shown below (see page
4 of instructions)? Yes No
Signature of officer Date Title
䊳
Date Preparer’s SSN or PTIN
Paid Preparer’s Check if
signature self-employed
Preparer’s
䊳
Firm’s name (or EIN
Use Only yours if self-employed),
Phone no. ( )
address, and ZIP code
For Privacy Act and Paperwork Reduction Act Notice, see page 13 of the instructions. Cat. No. 11531K Form 1120-FSC (2004)
5
I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 1120-FSC, PAGE 2 of 6
MARGINS: TOP 13mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD TO FOOT
PAPER: WHITE WRITING, SUB. 20. INK: BLACK
FLAT SIZE: 216mm (81⁄2 ") 838mm (33"), WRAP-IN FOLD TO: 216mm (81⁄2 ") 279mm (11")
PERFORATE: ON FOLDS
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
d If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of closing
inventory computed under LIFO 9d
e If property is produced or acquired for resale, do the rules of section 263A apply to the FSC? Yes No
f Was there any change in determining quantities, cost, or valuations between opening and closing inventory?
If “Yes,” attach explanation Yes No
Additional Information (See page 8 of the instructions.) Note: Small FSCs, complete lines 1 through 9f only.
Yes No Yes No
1 See page 14 of the instructions and enter the FSC’s: f Small FSCs only: Check the applicable box if during the tax
a Business activity code no. year the small FSC was a member of a controlled group of
b Business activity corporations that included a DISC or a FSC.
c Product or service
g Check the applicable box if during the tax year the FSC was
2 Enter the amount of tax-exempt interest received or a member of a controlled group of corporations that
accrued during the tax year $ included a DISC or a small FSC.
3 At any time during the tax year was the FSC engaged in 10 Foreign management rules (does not apply to small FSCs):
a trade or business in the United States? a Did all formally convened meetings of the board of directors
4 Is the FSC a foreign personal holding company or a personal and of the shareholders occur outside the U.S.?
holding company? (See page 8 of the instructions.) b (1) Were all cash dividends, legal and accounting fees, salaries
of officers, and salaries or fees of members of the board of
5 During the tax year, did the FSC own any foreign entity directors disbursed from bank accounts maintained outside
that was disregarded as an entity separate from its the United States? (If “Yes,” these accounts are considered
owner under Regulations sections 301.7701-2 and to be the FSC’s principal bank accounts.)
301.7701-3? (2) At all times during the tax year, did the FSC maintain its
If “Yes,” attach a statement listing the name, country principal bank accounts in a qualifying foreign country or
under whose laws the entity was organized, and EIN U.S. possession? (See pages 2 and 3 of the instructions.)
(if any) of each such entity. Name of bank(s)
6 During the tax year, did the FSC own at least a 10% Account number(s)
interest, directly or indirectly, in any foreign partnership? 11 Foreign economic process rules (does not apply to small FSCs):
If “Yes,” see page 8 of the instructions for required attachment. a Check the applicable box if the FSC is electing to group transactions
7 If the FSC has an NOL for the tax year and is electing to from its sales activities (Regulations section 1.924(d)-1(c)(5)):
forego the carryback period, check here Customer grouping Contract grouping
8 Enter the available NOL carryover from prior tax years. Product or product line grouping Product or product line subgroupings
(Do not reduce it by any deduction on Schedule B, Part b Check the applicable box(es) to indicate how the FSC met the foreign direct
II, line 19a.) $ costs requirement: (See page 3 of the instructions.)
9 FSC qualification rules (See page 2 of the instructions.): The FSC (or any person under contract with the FSC) met the
a Enter the largest number of shareholders the FSC had at 50% test of section 924(d)(1).
any time during the tax year The FSC (or any person under contract with the FSC) met the alternative
b Did the FSC have any preferred stock outstanding at 85% test of section 924(d)(2). Check to indicate the subparagraphs of
any time during the tax year? section 924(e) for which this alternative test was met:
c During the tax year, did the FSC maintain an office in a (e)(1) (e)(2) (e)(3) (e)(4) (e)(5)
qualifying foreign country or U.S. possession in which a c If box (e)(5) is checked, enter which of the five methods listed in
complete set of books and records was maintained? Regulations section 1.924(e)-1(e)(1)(i) through (v) describes how the
d During the tax year did the FSC maintain the records FSC bears the economic risk of nonpayment
required under section 6001 at a location within the U.S.? d Check the applicable box if the FSC is electing to group its foreign direct
e At all times during the tax year, did the FSC have at costs on one of the following (Regulations section 1.924(d)-1(e)):
least one non-U.S. resident on its board of directors? Customer grouping Contract grouping Product or product line grouping
Form 1120-FSC (2004)
5
I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 1120-FSC, PAGE 3 of 6
MARGINS: TOP 13mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD TO FOOT
PAPER: WHITE WRITING, SUB. 20. INK: BLACK
FLAT SIZE: 216mm (81⁄2 ") 838mm (33"), WRAP-IN FOLD TO: 216mm (81⁄2 ") 279mm (11")
PERFORATE: ON FOLDS
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
8 Interest 8
10 Carrying charges 10
11 Royalties 11
12 Other investment income 12
13 Receipts excluded under section 924(f) on the basis of use, subsidized receipts, and receipts
from related parties 13
14 Income from excluded property under sections 927(a)(2) and (3) 14
15 Income from transactions that did not meet the Foreign economic process rules (see page 3
of the instructions). (See Foreign Trading Gross Receipts on page 3 of the instructions.) 15
16 Other income 16
17 Total. Add lines 7 through 16 17
18 Enter deductions allocated or apportioned to line 17 income. (Attach schedule. Small FSCs also
include the cost of goods sold deduction attributable to the amount entered on line 7 above) 18
19 Taxable nonforeign trade income. Subtract line 18 from line 17. Enter here and on
Schedule B, line 17 19
Form 1120-FSC (2004)
5
I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 1120-FSC, PAGE 5 of 6
MARGINS: TOP 13mm (1⁄2 "), CENTER SIDES. PRINTS: HEAD TO FOOT
PAPER: WHITE WRITING, SUB. 20. INK: BLACK
FLAT SIZE: 216mm (81⁄2 ") 838mm (33"), WRAP-IN FOLD TO: 216mm (81⁄2 ") 279mm (11")
PERFORATE: ON FOLDS
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
9 Total tax. Add lines 7 and 8. Enter here and on line 1, page 1 9
Form 1120-FSC (2004)
5
I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 1120-FSC, PAGE 6 of 6
MARGINS: TOP 13mm (1⁄2 ”), CENTER SIDES. PRINTS: HEAD TO FOOT
PAPER: WHITE WRITING, SUB. 20. INK: BLACK
FLAT SIZE: 216mm (81⁄2 ”) x 838mm (33"), WRAP-IN FOLD TO: 216mm (81⁄2 ”) x 279mm (11”)
PERFORATE: ON FOLDS
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
1 Cash
2a Trade notes and accounts receivable
b Commissions receivable
c Less allowance for bad debts ( ) ( )
3 Inventories
4 U.S. government obligations
5 Tax-exempt securities (See page 13 of the instructions.)
6 Other current assets (attach schedule)
7 Loans to shareholders
8 Mortgage and real estate loans
9 Other investments (attach schedule)
10a Buildings and other depreciable assets
b Less accumulated depreciation ( ) ( )
11a Depletable assets
b Less accumulated depletion ( ) ( )
12 Land (net of any amortization)
13a Intangible assets (amortizable only)
b Less accumulated amortization ( ) ( )
14 Other assets (attach schedule)
15 Total assets
Liabilities and Shareholders’ Equity
16 Accounts payable
17 Mtges., notes, bonds payable in less than 1 year
18 Transfer prices payable
19 Other current liabilities (attach schedule)
20 Loans from shareholders
21 Mtges., notes, bonds payable in 1 year or more
22 Other liabilities (attach schedule)
23 Capital stock
24 Additional paid-in capital
25 Retained earnings—Appropriated (attach schedule)
26 Retained earnings—Unappropriated
27 Adjustments to shareholders’ equity (attach schedule)
28 Less cost of treasury stock ( ) ( )
29 Total liabilities and shareholders’ equity
Schedule M-1 Reconciliation of Income (Loss) per Books With Income per Return (See page 13 of the instructions.)
1 Net income (loss) per books 7 Income recorded on books this year not
2 Federal income tax per books included on this return (itemize):
3 Excess of capital losses over capital gains a Tax-exempt interest $
4 Income subject to tax not recorded b Exempt foreign trade
on books this year (itemize): income $
5 Expenses recorded on books this year 8 Deductions on this return not charged
not deducted on this return (itemize): against book income this year (itemize):
a Depreciation $ Depreciation $
b Deductions attributable to
exempt foreign trade income $
c Travel and entertainment $ 9 Add lines 7 and 8
10 Taxable income (line 18, Schedule B)—
6 Add lines 1 through 5 line 6 less line 9
Schedule M-2 Analysis of Unappropriated Retained Earnings per Books (Line 26, Schedule L)
1 Balance at beginning of year 5 Distributions: a Cash
2 Net income (loss) per books b Stock
3 Other increases (itemize): c Property
6 Other decreases (itemize):
7 Add lines 5 and 6
4 Add lines 1, 2, and 3 8 Balance at end of year (line 4 less line 7)
Printed on recycled paper Form 1120-FSC (2004)